S&C QCOR Hospice 2567s
d QCOR:  Quality, Certification and Oversight Reports.
Hospice 2567s
Selection Criteria

Time Interval

Please select the calendar year or years for which you would like data.

Note: Hospice 2567s data are available from October 2021 through March 2026.

Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific Hospice deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN

Use these filters if you want to search by a specific CMS Certification Number (CCN).

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys. Surveys can also be filtered by surveyor type - State Agency or Accrediting Organization - and by whether immediate jeopardy was cited.

CMS Certification Number Facility Name Address City State CMS Region Survey Date Surveyed By Survey Event ID Survey Type Statement of Deficiencies Report
151621 Transitions Indiana, Llc 8435 Keystone Crossing, Suite 108 Indianapolis IN 5 (Chicago) 09/11/2025 CHAP SEP0825_ZDM_870840_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0591 Nursing Services Standard
L0629 Supervision Of Hospice Aides Standard
151622 Loving Hearts Hospice And Palliative Care,Llc 4109 North Dearborn Road Lawrenceburg IN 5 (Chicago) 08/18/2022 CHAP AUG1622_SCU_870230_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive Assessment Standard
L0626 Hospice Aide Assignments And Duties Standard
151622 Loving Hearts Hospice And Palliative Care,Llc 4109 North Dearborn Road Lawrenceburg IN 5 (Chicago) 05/23/2025 CHAP MAY2025_CNP_870230_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0678 Content Standard
L0683 Discharge Or Transfer Of Care Standard
151623 Adaptive Hospice, Llc 2916 Peach Blossom, Suite 106 Jeffersonville IN 5 (Chicago) 04/13/2023 CHAP APR1023_UFL_8548659_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0678 Content Standard
151624 Rest Haven Illiana Christian Convalescent Home, Inc 10700 Park Place Saint John IN 5 (Chicago) 09/18/2023 State Agency 610FB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0030 Names And Contact Information Standard
L0000 Initial Comments Memo
L0543 Plan Of Care Standard
L0682 Discharge Or Transfer Of Care Standard
151625 Premier Hospice & Palliative Care - Indiana, Llc 10315 Dawson'S Creek Boulevard, Suite J Fort Wayne IN 5 (Chicago) 03/22/2023 State Agency 5F4A5-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0512 Rights Of The Patient Standard
L0517 Rights Of The Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0539 Approach To Service Delivery Standard
L0548 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0679 Authentication Standard
151625 Premier Hospice & Palliative Care - Indiana, Llc 10315 Dawson'S Creek Boulevard, Suite J Fort Wayne IN 5 (Chicago) 05/15/2023 State Agency 5F4A5-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0512 Rights Of The Patient Standard
L0517 Rights Of The Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0539 Approach To Service Delivery Standard
L0548 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0644 Role Standard
L0679 Authentication Standard
151628 Life's Journey Of Avon, Llc 1620 Hawthorne Dr Plainfield IN 5 (Chicago) 10/07/2021 ACHC 37671 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0728 Fire Protection Standard
L0732 Plumbing Facilities Standard
L0773 Hospice Plan Of Care Standard
151628 Life's Journey Of Avon Llc 1620 Hawthorne Dr Plainfield IN 5 (Chicago) 09/01/2023 State Agency 60E01-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0579 Prevention Standard
151628 Life's Journey Of Avon Llc 1620 Hawthorne Dr Plainfield IN 5 (Chicago) 04/16/2024 State Agency 62BC3-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0513 Rights Of The Patient Standard
L0579 Prevention Standard